Physical Activity in Youth with Down Syndrome and Its Relationship with Adiposity

Abstract

ABSTRACT: Purpose: The aims of this study are to (1) compare physical activity (PA) and sedentary activity (SA) in youth with and without Down syndrome (DS and non-DS) and examine the relationships of PA and SA with their traditional risk factors (age, sex, race, and body mass index Z score [BMI-Z]) and (2) explore the relationship of PA with visceral fat (VFAT) in both groups. Methods: SenseWear accelerometry data from at least 2 weekdays and 1 weekend day were collected from youth with DS (N = 77) and non-DS (N = 57) youth. VFAT was measured by dual x-ray absorptiometry. Results: In age-, sex-, race-, and BMI-Z–adjusted models, those with DS engaged in more minutes of light PA (LPA) (p < 0.0001) and less SA (p = 0.003) and trended toward fewer minutes of moderate-to-vigorous PA (MVPA) (p = 0.08) than non-DS youth. No race or sex differences in MVPA were detected in those with DS, unlike non-DS. After additional adjustment for pubertal status, the relationship between MVPA and VFAT approached significance (p = 0.06), whereas the relationships of LPA and SA with VFAT were maintained (p ≤ 0.0001 for both). Conclusion: Youth with DS engage in more LPA compared with non-DS, which, in typically developing populations, can confer a more favorable weight status. Increasing the opportunity for youth with DS to engage in LPA as part of their activities of daily living may offer a viable strategy for achieving healthy weight when barriers restrict pursuit of more vigorous PA.